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一种衡量健康相关生活质量(HRQOL)的新工具:一组老年土耳其人肌肉骨骼疼痛的影响。

A new tool measuring health-related quality of life (HRQOL): the effects of musculoskeletal pain in a group of older Turkish people.

作者信息

Cavlak Ugur, Yagci Nesrin, Bas Aslan Ummuhan, Ekici Gamze

机构信息

Pamukkale Universitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu, Yeni Rektörlük Binası B Katı Kinikli Kampusu, 20070 Denizli, Turkey.

Pamukkale Universitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu, Yeni Rektörlük Binası B Katı Kinikli Kampusu, 20070 Denizli, Turkey.

出版信息

Arch Gerontol Geriatr. 2009 Sep-Oct;49(2):298-303. doi: 10.1016/j.archger.2008.11.002. Epub 2008 Dec 19.

DOI:10.1016/j.archger.2008.11.002
PMID:19101046
Abstract

The aims of this study were (1) to show the effects of musculoskeletal pain on health-related quality of life (HRQOL) and (2) to look at gender differences in this field in elderly people living in Turkey. Subjects were 900 men and women (65 years of age or above), with a mean of 70.93+/-5.6 years. The centers for disease control (CDC) HRQOL-4 survey tool was used to measure HRQOL of the subjects. A visual analog scale (VAS) was used to determine pain intensity. The subjects were also asked to indicate sites where they experienced pain in their body. Of the subjects, 72.1% reported musculoskeletal pain. The prevalence of pain was higher among women (85.5%) than men (61.8%). Pain of lower extremities was the most common in both sexes. Whereas the majority of the subjects with musculoskeletal pain reported fair-poor self-rated health, those without pain reported excellent-very good-good health. Compared with subjects who did not report pain, those with pain had increased the number of physically and mentally unhealthy days in the previous 30 days (p=0.0001). The investigators concluded that musculoskeletal pain interfered negatively with HRQOL, increasing the number of unhealthy days and decreasing physical and mental performance in the elderly participants.

摘要

本研究的目的是

(1)展示肌肉骨骼疼痛对健康相关生活质量(HRQOL)的影响;(2)研究在土耳其生活的老年人中该领域的性别差异。研究对象为900名男性和女性(年龄在65岁及以上),平均年龄为70.93±5.6岁。使用疾病控制中心(CDC)的HRQOL - 4调查工具来测量研究对象的健康相关生活质量。采用视觉模拟量表(VAS)来确定疼痛强度。还要求研究对象指出身体疼痛的部位。在研究对象中,72.1%报告有肌肉骨骼疼痛。女性的疼痛患病率(85.5%)高于男性(61.8%)。下肢疼痛在两性中最为常见。虽然大多数有肌肉骨骼疼痛的研究对象报告自我健康评价为一般至较差,但无疼痛的研究对象报告健康状况为优秀至非常好至良好。与未报告疼痛的研究对象相比,有疼痛的研究对象在过去30天内身体和精神不健康天数增加(p = 0.0001)。研究者得出结论,肌肉骨骼疼痛对健康相关生活质量有负面影响,增加了不健康天数,并降低了老年参与者的身体和精神表现。

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